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HIV/AIDS and InfectionsPhase 2RHIVIERA-02NCT05300035

Phase II Trial of ART + Dual bNAbs vs. ART + Placebo During Primary HIV-1 Infection-impact on Post-ART Control

A Phase 2 study testing Recombinant human monoclonal antibody (bNAbs) in people with HIV/AIDS and Infections, run by ANRS, Emerging Infectious Diseases at 17 sites in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

RHIVIERA-02 trial is a placebo-controlled double-blinded two arm prospective phase II trial. This study will test the use of broadly neutralising antibodies (bNAbs) in participants, at primary HIV infection (PHI) and ART initiation. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
HIV/AIDS and Infections
What is being tested?
Recombinant human monoclonal antibody (bNAbs)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
69 participants
Where
17 sitesFrance
Study dates
11 Apr 2024to 10 Dec 2028
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Confirmed primary HIV-1 infection diagnostic
  • Aged ≥18 to ≤70 years old at screening
  • Willing to use use an effective method of contraception from the inclusion until the end of the follow-up in the trial
  • Negative plasmatic beta human chorionic gonadotropin (β-HCG) pregnancy test, when applicable
  • Agree not to seek pregnancy including through alternative methods, such as artificial insemination or in vitro fertilization until after the last required protocol clinic visit, when applicable
  • Informed and written signed consent
Show all 9Show fewer
  • Participant with regular health insurance
  • Willing to accept the trial constraints (travel for IMP administration and ART interruption)
  • Willing to be vaccinated against COVID-19 according to recommandations

Who cannot join

  • Participation in any other clinical trial requiring additional blood sampling Participation in an observational study without additional blood sampling is permitted
  • Participants in whom condom use or PrEP use by the partner will be difficult or impossible
  • Pregnant or breastfeeding patient
  • Participants under guardianship or curatorship
  • Any condition or infection, including HCV, HBV, SARS-CoV-2 or known M. tuberculosis active infection History of ischemic heart disease (myocardial infarction, stable or unstable angina, stroke)
  • Current or past history of cancer, excluding squamous cell skin cancers
Show all 17Show fewer
  • History or acute known inflammatory ophthalmic affection (uveitis, choroiditis, optic neuropathy)
  • Any medical condition that contraindicates ART interruption
  • Concomitant or previous conditions that preclude injection of monoclonal antibodies
  • History of systemic corticosteroids, immunosuppressive and anti-cancer medications within the last 6 months
  • History of severe reaction to a vaccine or drug infusion or history of severe allergic reactions
  • Individuals with any contraindication (including hypersensitivity reaction) to 3BNC117-LS and 10-1074-LS infusion
  • Prothrombin < 50%
  • Creatinine clearance < 60mL/mn (Cockroft)
  • ASAT or ALAT or bilirubine (total et conjugated) ≥ 10 times the upper limit of normal
  • Patient with an isolated HIV-2 viral strain
  • Planned absence that could affect participation in the trial (travel abroad, relocation, impending transfer...)

Trial locations and contacts

17 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Mathilde Ghislain, MSc contact

+331 45 59 52 29

mathilde.ghislain@inserm.fr

Nicolas Leturque, MSc contact

+331 45 59 51 93

nicolas.leturque@inserm.fr

17 sites in 1 country

France17 sites, 17 recruiting
  • Hôpial Avicenne - SMIT

    Bobigny, 93000

    Brigitte Gbaguidi, brigitte.gbaguidi@aphp.fr

    Olivier Bouchaud

    Recruiting
  • Hôpital Antoine Béclère

    Clamart, 92140

    Sandrine Poirier, sandrine.poirier@aphp.fr

    Sophie Abgrall

    Recruiting
  • Hôpital Beaujon - Service de médecine interne

    Clichy, 92110

    Abdelmoula Becharef, abdelmoula.becharef@aphp.fr

    Agnès Villemant Ululag

    Recruiting
  • CHI Créteil - HdJ

    Créteil, 94010

    Laurent Richier, laurent.richier@chicreteil.fr

    Valérie Garrait

    Recruiting
  • Hôpital Raymond Poincaré - SMIT

    Garches, 92380

    Rezak Mahrez, rezak.mahrez@aphp.fr

    Pierre De Truchis

    Recruiting
  • Hôpital Bicêtre - HdJ - Médecine interne

    Le Kremlin-Bicêtre, 94275

    Véronique Godard, veronique.godard@aphp.fr

    Cécile Goujard

    Recruiting
  • Hôpital Hôtel - Dieu

    Paris, 75004

    Marie-Josée Dulucq, marie-josee.dulucq@aphp.fr

    Jean-Paul Viard

    Recruiting
  • Hôpital Hôtel Dieu - Service d'immunologie clinique

    Paris, 75004

    Anne Rachline, anne.rachline@aphp.fr

    Laurence Weiss

    Not yet recruiting
  • Hôpital Pitié-Salpêtrière - SMIT

    Paris, 75013

    Yasmine Dudoit, yasmine.dudoit@aphp.fr

    Naima Hamani, naima.hamani@aphp.fr

    Recruiting
  • Hôpital Lariboisière - Service de médecine interne A

    Paris, 75475

    Guylaine Alexandre, guylaine.alexandre@aphp.fr

    Pierre Sellier

    Recruiting
  • Hôpital Saint- Louis - SMIT

    Paris, 75475

    Cylia Imekhlaf, cylia.imekhlaf@aphp.fr

    Caroline Lascoux-Combe

    Recruiting
  • Hôpital Saint-Antoine - SMIT

    Paris, 75571

    Bénédicte Lefebvre, benedicte.lefebvre2@aphp.fr

    Julie Lamarque, julie.lamarque@aphp.fr

    Recruiting
  • Hôpital Necker - SMIT

    Paris, 75743

    Carole Louisin, carole.louisin@aphp.fr

    Claudine Duvivier

    Recruiting
  • Hôpital Bichat - Claude Bernard - SMIT

    Paris, 75877

    Lynda Chalal, lynda.chalal@aphp.fr

    Jade Ghosn

    Recruiting
  • Hôpital Tenon - SMIT

    Paris, 75970

    Pelagie Thibaut, pelagie.thibaut@aphp.fr

    Christia Palacios, christia.palacios@aphp.fr

    Recruiting
  • Centre médico chirurgical Foch - Suresnes

    Suresnes, 92151

    Amina Fadli, a.fadli@hopital-foch.com

    David Zucman

    Recruiting
  • CHI Villeneuve-Saint-Georges - SMIT

    Villeneuve-Saint-Georges, 94195

    Laurent Richier, laurent.richier@chiv.fr

    Pauline Caraux Paz

    Recruiting

Other trials in France

About this study

Official title: A Randomised Phase II Placebo-controlled Trial of Antiretroviral Therapy (ART) Plus Dual Long-acting HIV-specific Broadly Neutralising Antibodies (bNAbs) vs ART Plus Placebo During Primary HIV-1 Infection to Study the Impact on Post-treatment HIV Control.

RHIVIERA-02 trial is a placebo-controlled double-blinded two arm prospective phase II trial. This study will test the use of broadly neutralising antibodies (bNAbs) in participants, at primary HIV infection (PHI) and ART initiation.

Read the detailed description

The study proposes to test an intervention consisting of dual long-acting HIV-specific broadly neutralizing antibodies (3BNC117-LS \& 10-1074-LS ) + ART, at primary HIV-1 infection, and to compare it to ART only regarding HIV-1 replication.

The study aims to enrol 69 participants in French (Ile-de-France) clinical centres. Participants will have been diagnosed with primary HIV-1 infection, will start ART during early phase of Primary HIV infection, and will interrupt ART 52 weeks later.

Study duration will vary by participant, depending on the time of ART interruption and the time to viral rebound.

Being tested
Recombinant human monoclonal antibody (bNAbs), Placebo
Medical subject headings
Acquired Immunodeficiency Syndrome, Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Recombinant human monoclonal antibody (bNAbs)Drug

    Also called 10-1074-LS and 3BNC117-LS

    1. Initiation of combination ART (1 integrase inhibitor + 2 nucleoside analogue reverse transcriptase inhibitors) with additional dual intravenous infusions of bNAbs (3BNC117LS \& 10-1074LS) between Day 7 and Day 10.
    2. Analytical treatment interruption (ATI), 52 weeks later, if good immunologic and virologic conditions.
    3. During ATI, plasma HIV-1 RNA and CD4 monitoring, for a maximum of 48 weeks.
    4. ART resumption, if participant encounters at least one ART resumption criteria.
  • PlaceboDrug

    Also called Saline solution

    1. Initiation of combination ART (1 integrase inhibitor + 2 nucleoside analogue reverse transcriptase inhibitors) with additional dual intravenous infusions of placebo (saline solution) between Day 7 and Day 10.
    2. Analytical treatment interruption (ATI), 52 weeks later, if good immunologic and virologic conditions.
    3. During ATI, plasma HIV-1 RNA and CD4 monitoring, for a maximum of 48 weeks.
    4. ART resumption, if participant encounters at least one ART resumption criteria.
Study groups in NCT05300035
Study groupRoleWhat they receive
bNAbsActive comparatorART plus dual long-acting (LS) broadly neutralising antibodies (bNAbs) infusion at HIV-1 primary HIV-1 infection, during 52 weeks minimum, followed by and Antiretroviral Treatment Interruption (ATI).
Receives: Drug: Recombinant human monoclonal antibody (bNAbs)
PlaceboPlacebo comparatorART plus placebo (saline solution) at HIV-1 primary HIV-1 infection, during 52 weeks minimum, followed by and Antiretroviral Treatment Interruption (ATI).
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of participants with plasma HIV-1 RNA below 400 cp/mL 24 weeks following ATI (W24 ATI), in the confirmed absence of ART.

    These participants will be considered as post-treatment controllers.

    Measured: at Week 24 of antiretroviral treatment interruption period (ATI)

Secondary outcomes (22)
  1. Tolerance of bNAbs infusion : Number of clinical and biological adverse event (AE)

    Number of clinical and biological AE during follow-up. Abnormal laboratory values will be identified as those outside values defined by the DAIDS scale

    Measured: from date of inclusion to the last follow-up visit date, up to 148 weeks

  2. Tolerance of bNAbs infusion : Nature and Grade of clinical and biological AE

    Grade of clinical and biological adverse during follow-up. The intensity of all AE (serious and non-serious) will be graded using the DAIDS AE Grading Table Corrected Version 2.1-July 2017

    Measured: from date of inclusion to the last follow-up visit date, up to 148 weeks

  3. Tolerance of bNAbs infusion : Time of clinical and biological adverse event (AE)

    Measured: from date of inclusion to the last follow-up visit date, up to 148 weeks

  4. Proportion of participants resuming ART within the first 24 weeks of ART interruption, according to the reason for resuming.

    Measured: at Week 24 of antiretroviral treatment interruption period (ATI)

  5. Time to potential ART resumption for non-controllers.

    Measured: from Day 0 of antiretroviral treatment interruption period (ATI) to Day 0 of ART resumption date, assessed up to 48 weeks following ATI

  6. Clinical and immulogical criteria during follow-up: Proportion of participants with clinical symptoms.

    Measured: during all ART period (from Day 0 to Week 52 ARV), during all ATI period (from Day 0 ATI to Day 0 ART Resumption) and during ART resumption period (from Day 0 to Week 24 ART Resumption)

  7. Clinical and immulogical criteria during follow-up: Evolution of CD4, CD8 (levels and %) and CD4/CD8 ratio.

    Measured: during all ART period (from Day 0 to Week 52 ARV), during all ATI period (from Day 0 ATI to Day 0 ART Resumption) and during ART resumption period (from Day 0 to Week 24 ART Resumption)

  8. Clinical and immulogical criteria during follow-up: Evolution of inflammation markers levels.

    physiological parameters levels will be studied: IP10, TGFβ, IL-7, IL-10, IL-12, IL-15, IL-18, Citrulline, sCD14, sCD163, TNF-α

    Measured: biological parameters levels during all ART period (from Day 0 to Week 52 ARV), during all ATI period (from Day 0 ATI to Day 0 ART Resumption) and during ART resumption period (from Day 0 to Week 24 ART Resumption)

  9. Immulogical criteria : Changes in the magnitude and quality of HIV-specific T cell responses and humoral responses.

    physiological parameters levels will be studied: frequency and functionality of T cells responding to HIV peptides measured by intracellular cytokine staining, surface expression of activation and differentiation markers, HIV suppressive capacity upon co-culture with autologous infected cells

    Measured: physiological parameters levels during all ART period (from Day 0 to Week 52 ARV), during all ATI period (from Day 0 ATI to Day 0 ART Resumption) and during ART resumption period (from Day 0 to Week 24 ART Resumption)

  10. Virological criteria during follow-up: Plasma HIV-1 RNA and HIV-1 DNA level and cell-associated HIV RNA transcripts changes.

    Measured: during all ART period (from Day 0 to Week 52 ARV), during all ATI period (from Day 0 ATI to Day 0 ART Resumption) and during ART resumption period (from Day 0 to Week 24 ART Resumption)

  11. Virological criteria : Proportion of participant with plasma HIV-1 RNA < 50 cp/mL at 12- and 24-weeks following ART interruption.

    Measured: at Week 12 and Week 24 of antiretroviral treatment interruption period (ATI)

  12. Virological criteria : Cumulative plasma viremia during ART interruption.

    Measured: from Day 0 of antiretroviral treatment interruption period (ATI) to Day 0 of ART resumption, assessed up to 48 weeks following ATI

  13. Virological criteria : in case of ART resumption, time from date of ART interruption begining to date of first HIV-1 RNA ≥ 50 copies/mL

    Measured: from Day 0 of antiretroviral treatment interruption period (ATI) to Day 0 of ART resumption, assessed up to 48 weeks following ATI

  14. Virological criteria : in case of ART resumption, proportion of participant with plasma HIV-1 RNA < 50 copies/mL within 24 weeks of ATI.

    Measured: from Day 0 of antiretroviral treatment interruption period (ATI) to Day 0 of ART resumption, assessed up to 48 weeks following ATI

  15. Virological criteria : Evolution of total HIV-1 DNA and cell-associated HIV-1 RNA by US q-PCR and predictive value on post- ART interruption evolution.

    Measured: during all ART period (from Day 0 to Week 52 ARV), during all ATI period (from Day 0 ATI to Day 0 ART Resumption) and during ART resumption period (from Day 0 to Week 24 ART Resumption)

  16. Virological criteria : Evolution of detection proportion and level of cell-associated HIV-1 RNA.

    Measured: during all ART period (from Day 0 to Week 52 ARV), during all ATI period (from Day 0 ATI to Day 0 ART Resumption) and during ART resumption period (from Day 0 to Week 24 ART Resumption)

  17. Virological criteria : Qualitative and quantitative changes in the persistent viral reservoir.

    physiological parameters levels will be studied: total cell associated HIV-DNA, integrated HIV-DNA, proportion of replication competent vs defective proviruses

    Measured: physiological parameters levels during all ART period (from Day 0 to Week 52 ARV), during all ATI period (from Day 0 ATI to Day 0 ART Resumption) and during ART resumption period (from Day 0 to Week 24 ART Resumption)

  18. Dosages of bNAbs performed during follow-up.

    Measured: during ART follow-up (Week 1,Week 12, Week 24, Week 36), and antiretroviral treatment interruption period (Day 0, Week 12, Week 24)

  19. Criteria related to the risk of HIV-1 transmission : Proportion of participants reporting to use condoms during sexual intercourses

    Measured: from date of inclusion to the last follow-up visit date, up to 148 weeks

  20. Criteria related to the risk of HIV-1 transmission : Proportion of participants reporting to have proposed PrEP at their partners.

    Measured: from date of inclusion to the last follow-up visit date, up to 148 weeks

  21. Social sciences criteria : Proportion of patients satisfied with their participation and the associated factors

    Measured: from date of inclusion to the last follow-up visit date, up to 148 weeks

  22. Social sciences criteria : Impact of the participation in the trial on participant quality of life and quality of sexual life

    Through statistical analyses of some self-administered questionnaires items (in particular the SF12.v2 scale for quality of life) and thematic analyses of semi-directive individual interviews we will highlight the impact of the participation in the trial.

    Measured: from date of inclusion to the last follow-up visit date, up to 148 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Mar 2022
  2. Study start11 Apr 2024
  3. Primary completion10 Dec 2026 (estimated)
  4. Study completion10 Dec 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
69 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05300035
Sponsor's protocol ID
ANRS 176 RHIVIERA-02
Acronym
RHIVIERA-02
Status last verified
Dec 2024
First submitted
3 Jan 2022
Last updated
27 Dec 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Recombinant human monoclonal antibody (bNAbs) in people with HIV/AIDS and Infections, run by ANRS, Emerging Infectious Diseases at 17 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 27 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Mathilde Ghislain, MSc (+331 45 59 52 29, mathilde.ghislain@inserm.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of participants with plasma HIV-1 RNA below 400 cp/mL 24 weeks following ATI (W24 ATI), in the confirmed absence of ART. (time frame: at Week 24 of antiretroviral treatment interruption period (ATI)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Dec 2024.

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